Impact of Advanced Platelet-Rich Fibrin on Early Bone Healing After Endodontic Microsurgery : A Randomized Controlled Trial
dc.contributor.author | Kārkle, Aleksandra | |
dc.contributor.author | Neimane, Laura | |
dc.contributor.author | Zolovs, Maksims | |
dc.contributor.author | Dambergs, Matīss | |
dc.contributor.author | Meistere, Dita | |
dc.contributor.author | Vaškevica, Anete | |
dc.contributor.author | Slaidiņa, Anda | |
dc.contributor.institution | Department of Conservative Dentistry and Oral Health | |
dc.contributor.institution | Statistics Unit | |
dc.contributor.institution | Department of Prosthetic Dentistry | |
dc.date.accessioned | 2025-02-28T14:00:01Z | |
dc.date.available | 2025-02-28T14:00:01Z | |
dc.date.issued | 2025-02-20 | |
dc.description.abstract | Background: Apical surgery can address periapical pathologies when conventional endodontic treatments fail. Advanced platelet-rich fibrin (A-PRF) has emerged as a regenerative material with the potential to enhance healing in periapical surgery. In this study, we evaluated the effect of A-PRF on periapical lesion healing using cone beam computed tomography (CBCT). Methods: A randomized controlled trial at Rīga Stradiņš University Institute of Stomatology included 43 participants (15 males, 28 females; mean age: 44 years) with periradicular lesions. Participants were divided into experimental and control groups. Baseline and follow-up CBCT imaging assessed lesion volumes at 6 and 12 months post-surgery. Results: Mean lesion volumes significantly decreased from 431.4 mm3 at baseline to 102.8 mm3 at 6 months and 49.2 mm3 at 12 months (p < 0.001). A-PRF did not significantly reduce the lesion sizes compared to the controls (p = 0.043), but was associated with reduced inflammation and enhanced soft tissue healing. Key confounders included gender and baseline lesion volume, with males exhibiting smaller lesion sizes postoperatively. Conclusions: The results suggest that A-PRF may not offer a significant advantage in terms of reducing defect size or improving radiographic resolution. | en |
dc.description.status | Peer reviewed | |
dc.format.extent | 17 | |
dc.format.extent | 6349551 | |
dc.identifier.citation | Kārkle, A, Neimane, L, Zolovs, M, Dambergs, M, Meistere, D, Vaškevica, A & Slaidiņa, A 2025, 'Impact of Advanced Platelet-Rich Fibrin on Early Bone Healing After Endodontic Microsurgery : A Randomized Controlled Trial', Diagnostics, vol. 15, no. 5, 516. https://doi.org/10.3390/diagnostics15050516 | |
dc.identifier.doi | 10.3390/diagnostics15050516 | |
dc.identifier.issn | 2075-4418 | |
dc.identifier.uri | https://dspace.rsu.lv/jspui/handle/123456789/17146 | |
dc.language.iso | eng | |
dc.relation.ispartof | Diagnostics | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | apical surgery | |
dc.subject | advanced platelet-rich fibrin | |
dc.subject | bone regeneration | |
dc.subject | CBCT | |
dc.subject | 3.2 Clinical medicine | |
dc.subject | 1.4. Reviewed scientific article published in Latvia or abroad in a scientific journal with an editorial board (including university editions) | |
dc.title | Impact of Advanced Platelet-Rich Fibrin on Early Bone Healing After Endodontic Microsurgery : A Randomized Controlled Trial | en |
dc.type | /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article |
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